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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NAUTICA KING

Active Sole Proprietor

NAUTICA KING is a Child & Adolescent Psychiatric Nurse healthcare provider located in LA PLATA, Maryland. NPI 1619748688 is currently active in the NPPES registry. Verify at CMS.

Child & Adolescent Psychiatric Nurse · LA PLATA, MD

Registration Details

NPI Number
1619748688
Provider Type
Individual
Gender
Female
NPI Issued
Jan 9, 2024 (2.6385064147333 yrs)
Last Updated
Sep 4, 2024
Licenses
R258768 (MD)
RN500016537 (DC)
Sole Proprietor
Yes

Practice Information

Address
5 GARRETT AVE
LA PLATA, MD, 206465960
Browse MD providers · Browse ZIP 20646
Phone
3016095400
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.